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Have you tried using Gentian Violet? We had a thrush issue and this helped tremendously!! But it sounds like the thrush you are battling has turned into a particularly resistant version. Really, any live active yogurt will do.
I have a bad case of thrush right now.
Here's my treatment plan:
DS gets nystatin 4x daily after nursing.
After nursing I rinse with vinegar & water (50/50) and let it air dry a few minutes. Then I use GSE and let it air dry more. 3x a day I put on nystatin after, other times I put on coconut oil. The last feeding at night I put on gentian violet (consequently DS gets gentian violet at the first morning feeding). I put lanolin on DS's face to help with staining.
We've been using the nystatin for about 4 days now, I just started GSE and GV yesterday. I am seeing improvement, but it's slow!!!
I forgot to add: everything that was used that day is boiled for 20-30 minutes at night (paci, any bottles/nipples, pump parts, etc.) and any burp rags or clothes (my bra and shirt in particular) are washed on the sanitation cycle.
I fully admit I was half- treating the thrush for the first while... then it exploded across my entire breast and I'm not halfway doing anything about this anymore! LOL